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Evaluation Reports

Some evaluation reports are public and can be downloaded from this website, while others are restricted to MSF users and can only be accessed via Tukul. This limitation is mainly due to the sensitive nature of the operational contexts and the resulting content. However, there are internal discussions about making all evaluation reports publicly searchable. If you are an MSF association member, reports are made available on various associate platforms such as www.insideOCB.com.

In 2015, MSF operations and medical directors recognised antibiotic resistance (ABR) as a priority and called for the elaboration of an intersectional roadmap to tackle ABR in MSF projects. The MSF ABR Task Force was consolidated in 2017 with joint medical and operational governance.

These case study reports were produced at the request of MSF-OCBA, under the management of the Vienna Evaluation Unit. They were prepared independently by the respective authors.

This report examines knowledge and practices of the inhabitants of Moissala Rural District in Chad regarding sexual, reproductive and pediatric health as well as access to health care and health seeking behaviors for women and children under five years of age.

***English and French version available***

This publication was produced by MSF OCP, Cell 2, in cooperation with RIDER.

In Chad, MSF-OCA strategy of long-term projects and rapid responses to emergencies negatively impacted the standard decentralised supply approach; leading to supply constraints and sub-optimal supply quality standard. To tackle the issue, MSF-OCA Chad mission started to implement a centrally managed unallocated inventory strategy in early-2013.

Through this evaluation, MSF-OCA seeks to appraise how the inventory management outside the standard norm has benefited a mission like Chad, as well as reflecting on its original intended purpose, and its potential replicability.

This publication was produced at the request of MSF OCA, under the management of the Stockholm Evaluation Unit. It was prepared independently by Alexandre Crubézy.

In the last few years, MSF OCG has developed an Operational Policy with the ambition to increase and improve the quantity and quality of secondary health care structures (or inpatient care). This recognition has prompted the organization to take a closer look at the challenges, lessons and accomplishments in terms of hospital management to develop strategies that will enable the organization to successfully set up, govern, implement and exit inpatient projects in all types of contexts.

This publication was produced at the request of MSF OCG, under the management of the Vienna Evaluation Unit. It was prepared independently by Annie Désilets and Ines Hake.

Integration of HIV/TB services is one of the priorities for the MSF movement since 2010 and in particular for OCBA that started hand over of the so-called vertical programs in the same year. This process has finished for the total of 16 vertical HIV programs of MSF-OCBA started since 2005. Integration aims to provide access to HIV/TB care to all populations in need in locations where MSF has implemented regular projects, regardless of the HIV prevalence in places such as CAR (started in 2008), South Sudan (2011) and Niger (2014).

This publication was produced at the request of MSF OCBA, under the management of the Athens Evaluation Unit. It was prepared independently by Geraldine Brun and Heinz Henghuber (TL) and managed by the Athens Evaluation Referent Dimitra Kageropoulos.

This report is a review of advocacy within the MSF movement from 2010-2015. Commissioned by the core ExCom, the aim of this review was to explore the effectiveness of MSF advocacy and produce recommendations to improve its approach, coordination and organization in support to operations within the movement. Two external evaluation consultants, Glenn O’Neil and Liesbeth Schockaert, conducted the review with the support of Nirupama Sarma who carried out a complementary review of the Access Campaign (AC).

This publication was produced at the request of MSF International, under the management of the Vienna Evaluation Unit. It was prepared independently by Glenn O'Neil and Liesbeth Schockaert, with contributions from Nirupama Sarma.

In October 2013 MSF developed a proposal for a new WHS strategy for meeting the medical humanitarian needs in large scale emergencies. In May 2015, the MSF Stockholm Evaluation Unit commissioned an evaluation of the 2013 MSF Operational Centre Amsterdam (OCA) strategy for a more offensive WHS approach. The evaluation focused on OCA interventions in South Sudan in Jaman, 2012, Bentui in 2014, CAR/Bossangoa and Bangui in 2014 and Ethiopia/Gambella in 2014. The period of evaluation was the first 3 months of the interventions.

The evaluation looks at the process for managing MSF-OCP's construction/rehabilitation projects since 2012. The main problems identified are not related to the process itself, but the way it is put into application. The main users pointed out the long delays (periods of indicision) as being the biggest difficulty, followed by budget/cost issues (cost/m² estimates) , and the quality of constructions (techniques, materials, etc). One of the root causes of delays relates to unclear/incomplete definition of roles and responsibilities = actions to take.